A comparison of the clinical use of the Laryngeal Tube S and the ProSeal Laryngeal Mask Airway by first-month anaesthesia residents in anaesthetised patients.

Abstract:

:The Laryngeal Tube S and the LMA-ProSeal are supraglottic instruments with an improved airway seal and a drainage tube to protect against regurgitation and to facilitate passage of a gastric tube. We compared the feasibility of these two instruments in a randomised, controlled clinical trial. One hundred and sixty patients were randomly allocated to undergo insertion of a Laryngeal Tube S (n = 82) or an LMA-ProSeal (n = 78). All insertions were carried out by first-month anaesthesia residents. Success rates were not significantly different: Laryngeal Tube S 89%, LMA-ProSeal 95%. There was also no significant difference in leak pressure or insertion time. Insertion time decreased significantly when we compared the first with the last 10 insertions. Gastric tube placement was successful in all patients in the Laryngeal Tube S group, but failed in 12 patients in the LMA-ProSeal group (p < 0.001). Dysphagia was reported by 22% of Laryngeal Tube S group and 3% of LMA-ProSeal group (p = 0.001). These findings demonstrate the applicability of the devices and a learning effect in the hands of anaesthesia residents with limited experience.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Klaver NS,Kuizenga K,Ballast A,Fidler V

doi

10.1111/j.1365-2044.2007.05073.x

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

723-7

issue

7

eissn

0003-2409

issn

1365-2044

pii

ANA5073

journal_volume

62

pub_type

杂志文章,随机对照试验
  • The differential effects of recombinant brain natriuretic peptide, nitroglycerine and dihydralazine on systemic oxygen delivery and gastric mucosal microvascular oxygenation in dogs.

    abstract::Brain natriuretic peptide has vasodilatory properties and may thus increase splanchnic perfusion and oxygenation. We compared the effects of recombinant brain natriuretic peptide on gastric mucosal microvascular haemoglobin oxygenation (reflectance spectrophotometry) and systemic variables with those of equi-hypotensi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.07047.x

    authors: Schwarte LA,Schwartges I,Scheeren TW,Schober P,Picker O

    更新日期:2012-05-01 00:00:00

  • Improving the efficiency of the drawover anaesthetic breathing system.

    abstract::We investigated modifications to the reservoir tube usually used in drawover anaesthetic breathing systems as a method of improving its efficiency and performance. The resulting oxygen concentration was recorded at different oxygen flow rates whilst an artificial lung was being ventilated over a range of minute volume...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05224.x

    authors: Eales M,Rowe P,Tully R

    更新日期:2007-11-01 00:00:00

  • Paraplegia following epidural analgesia.

    abstract::A case of neurological damage associated with lumbar epidural block is presented. Muscle paralysis and sensory loss were found in the immediate postoperative period and there was partial recovery of muscle power. The possible mechanisms of nerve damage are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1975.tb00955.x

    authors: Harrison PD

    更新日期:1975-11-01 00:00:00

  • The effect of pre-induction glycopyrronium on the haemodynamic response of elderly patients to anaesthesia with propofol.

    abstract::This study investigated whether pretreatment with glycopyrronium can attenuate the hypotension caused by anaesthesia of the elderly with propofol. Twenty elderly patients (77.1 +/- 2.44 years, mean +/- SEM) of ASA physical status 2 or 3 scheduled for elective urological procedures were given glycopyrronium 0 (n = 10) ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1992.tb02341.x

    authors: Sneyd JR,Mayall R

    更新日期:1992-07-01 00:00:00

  • The oculo-emetic reflex. A rationalisation of postophthalmic anaesthesia vomiting.

    abstract::Data related to the incidence of postoperative vomiting were collected during prospective studies on 607 ophthalmic surgical patients of all ages who underwent halothane anaesthesia with spontaneous ventilation. Analysis of data in respect of age, sex and surgical site variables, and time of onset of vomiting, identif...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11157.x

    authors: van den Berg AA,Lambourne A,Clyburn PA

    更新日期:1989-02-01 00:00:00

  • Aluminium release by coated and uncoated fluid-warming devices.

    abstract::The use of fluid-warming systems is recommended for infusion rates > 500 ml.h-1 to avoid peri-operative hypothermia. Some fluid-warming devices use disposable aluminium-heated plates for heat transfer, but there is no protective coating to separate the fluid from the heated aluminium surface. It is unknown if this cou...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14601

    authors: Perl T,Kunze-Szikszay N,Bräuer A,Quintel M,Röhrig AL,Kerpen K,Telgheder U

    更新日期:2019-06-01 00:00:00

  • Intracranial hypotension headache after uncomplicated caudal epidural injection.

    abstract::A caudal epidural injection was performed on a middle-aged woman for pain in her right foot. Although the procedure was uncomplicated and a good epidurogram was obtained, the patient went on to develop an orthostatic headache with generalised weakness and syncopal episodes that were treated successfully by epidural bl...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06980.x

    authors: Thomas R,Thanthulage S

    更新日期:2012-04-01 00:00:00

  • Cardiovascular effects of epidural local anaesthetics. Comparison of 0.75% bupivacaine and 0.75% ropivacaine, both with adrenaline.

    abstract::The cardiovascular effects of 20 ml 0.75% bupivacaine with adrenaline 5 micrograms/ml injected epidurally were compared with those of 20 ml 0.75% ropivacaine with adrenaline. Cardiovascular measurements were performed with a transthoracic electrical bioimpedance monitor. The maximum mean arterial blood pressure decrea...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09544.x

    authors: Kerkkamp HE,Gielen MJ

    更新日期:1991-05-01 00:00:00

  • The effect of single use laryngoscopy equipment on illumination for tracheal intubation.

    abstract::We measured the illumination generated by all 30 Macintosh size 3 laryngoscopes in our department with a lux-meter and a standardised laryngoscope holding tube. We found a large range in illumination generated (65-3130 lx). We then measured the effect on the illumination for each laryngoscope by covering the blade wit...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2002.02691.x

    authors: Anderson KJ,Bhandal N

    更新日期:2002-08-01 00:00:00

  • Patient-controlled epidural analgesia with sufentanil following caesarean section: the effect of adrenaline and clonidine admixture.

    abstract::Sixty patients, scheduled for Caesarean section were randomly allocated to receive by the epidural route in a double-blind fashion one of the following patient-controlled analgesia mixtures for the relief of postoperative pain: sufentanil 2 micrograms.ml-1 in 0.9% sodium chloride, sufentanil 2 micrograms.ml-1 + adrena...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04447.x

    authors: Vercauteren MP,Vandeput DM,Meert TF,Adriaensen HA

    更新日期:1994-09-01 00:00:00

  • Acute cardiac herniation after radical pleuropneumonectomy.

    abstract::Acute cardiac herniation after radical pneumonectomy is extremely rare and is associated with an immediate mortality greater than 50%. We report a patient in whom cardiac herniation produced no signs or symptoms. The heart was returned to its correct position and the pericardial defect was repaired. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1999.00611.x

    authors: Self RJ,Vaughan RS

    更新日期:1999-06-01 00:00:00

  • Total intravenous anaesthesia for military surgery. A technique using ketamine, midazolam and vecuronium.

    abstract::Ketamine and midazolam were used for induction of anaesthesia and by continuous intravenous infusion for maintenance to assess their suitability for use in a total intravenous anaesthetic technique in the management of battle casualties. Muscular relaxation was provided by vecuronium and the patients' lungs ventilated...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05424.x

    authors: Restall J,Tully AM,Ward PJ,Kidd AG

    更新日期:1988-01-01 00:00:00

  • AIDS and anaesthesia.

    abstract::The Acquired Immune Deficiency Syndrome (AIDS) is a group of conditions which is reaching epidemic proportions. It is caused by a virus new to man, with an as yet poorly understood natural history, ominous prognosis and no known cure. Anaesthetists should be aware of the implications of dealing with increasing numbers...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12743.x

    authors: Lee KG,Soni N

    更新日期:1986-10-01 00:00:00

  • Topical benzydamine hydrochloride for prevention of postoperative sore throat in adults undergoing tracheal intubation for elective surgery: a systematic review and meta-analysis.

    abstract::Postoperative sore throat has a negative impact on patient satisfaction and recovery. Benzydamine hydrochloride is a non-steroidal anti-inflammatory drug available for topical use. We performed a systematic review and meta-analysis to assess the efficacy and safety of topical application of benzydamine to prevent post...

    journal_title:Anaesthesia

    pub_type: 杂志文章,meta分析

    doi:10.1111/anae.14224

    authors: Kuriyama A,Aga M,Maeda H

    更新日期:2018-07-01 00:00:00

  • Comparison of rocuronium and suxamethonium for use during rapid sequence induction of anaesthesia.

    abstract::This study was designed to compare the tracheal intubating conditions during a rapid sequence induction of anaesthesia using rocuronium 0.6 (n = 61) or 1.0 mg.kg-1 (n = 130) or suxamethonium 1.0 mg.kg-1 (n = 127) as the neuromuscular blocking drugs. Anaesthesia was induced with fentanyl 1-2 micrograms.kg-1 and thiopen...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1998.00342.x

    authors: McCourt KC,Salmela L,Mirakhur RK,Carroll M,Mäkinen MT,Kansanaho M,Kerr C,Roest GJ,Olkkola KT

    更新日期:1998-09-01 00:00:00

  • Deliberate self-poisoning with dapsone. A case report and summary of relevant pharmacology and treatment.

    abstract::We report the case of a 14-year-old girl who deliberately ingested 8-9 g of dapsone and presented with severe methaemoglobinaemia and altered mental status. Prompt treatment with repeated doses of methylene blue and organ support brought about control of the methaemoglobinaemia and averted organ failure. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.98-az0094b.x

    authors: Ferguson AJ,Lavery GG

    更新日期:1997-04-01 00:00:00

  • A randomised, controlled, crossover trial of oral midazolam and nitrous oxide for paediatric dental sedation.

    abstract::A randomised, controlled, crossover trial was designed to assess the safety and effectiveness of oral midazolam sedation for orthodontic extractions. Forty-six ASA physical status I children aged 10-16 years were recruited. Each child required two treatment sessions. Sedation with either oral midazolam 0.5 mg.kg-1 or ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2002.02784.x

    authors: Wilson KE,Welbury RR,Girdler NM

    更新日期:2002-09-01 00:00:00

  • Remifentanil and the tunnelling phase of paediatric ventriculoperitoneal shunt insertion. A double-blind, randomised, prospective study.

    abstract::Sixty-two children were randomly allocated to receive, during inhalational anaesthesia with isoflurane and nitrous oxide, either 1.0 microg x kg(-1) remifentanil (n = 33) or saline (n = 29) just before the tunnelling phase of ventriculoperitoneal shunt insertion, in a double-blind study. The remifentanil group showed ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.0003-2409.2001.02398.x

    authors: Chambers N,Lopez T,Thomas J,James MF

    更新日期:2002-02-01 00:00:00

  • Echocardiographic assessment of the haemodynamic effects of propofol: a comparison with etomidate and thiopentone.

    abstract::The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09349.x

    authors: Gauss A,Heinrich H,Wilder-Smith OH

    更新日期:1991-02-01 00:00:00

  • Use of a low-power nerve stimulator during sciatic nerve block.

    abstract::The use of a low-power nerve stimulator to aid nerve location during the performance of sciatic nerve block was compared with a conventional anatomically based technique. The success rate, both in terms of the production of an effective block and the duration of postoperative analgesia, was significantly higher in the...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb03043.x

    authors: Smith BE,Allison A

    更新日期:1987-03-01 00:00:00

  • Vecuronium--a variable dose technique.

    abstract::Vecuronium was administered to patients in doses of 100, 150, 200 and 250 micrograms/kg and the duration of action recorded by noting the time to recovery of the first twitch in a train-of-four to 10% of the control twitch. The recovery times ranged from a mean of 28.4 minutes (100 micrograms/kg) to 72.4 minutes (250 ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb03000.x

    authors: Feldman SA,Liban JB

    更新日期:1987-02-01 00:00:00

  • Bacterial contamination of PCA and epidural infusion devices.

    abstract::We prospectively audited the bacterial contamination of re-usable analgesia infusion pumps. In a one-month period, 112 samples from the handset and keypads of our analgesia infusion pumps were cultured for bacterial contamination. Forty-five percent of handset swabs and 46% of keypad swabs grew bacteria; the commonest...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.05914.x

    authors: Rothwell M,Pearson D,Wright K,Barlow D

    更新日期:2009-07-01 00:00:00

  • C-reactive protein in patients undergoing cardiac surgery.

    abstract::Among 25 patients undergoing cardiac surgery with the aid of cardiopulmonary bypass, 13 who recovered uneventfully all had normal (less than 2 mg/litre) levels of serum C-reactive protein pre-operatively. In contrast, 10 of the 12 patients who suffered from various postoperative complications, including two who died, ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12696.x

    authors: Boralessa H,de Beer FC,Manchie A,Whitwam JG,Pepys MB

    更新日期:1986-01-01 00:00:00

  • The laryngeal mask airway in children.

    abstract::The laryngeal mask airway was used in 200 children during a variety of surgical procedures. Some problem with the use of the device was encountered in 47 cases (23%), but in only five cases (2.5%) were the problems serious enough to warrant abandonment of its use. A clear airway was ultimately achieved in 191 children...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1990.tb14449.x

    authors: Mason DG,Bingham RM

    更新日期:1990-09-01 00:00:00

  • Blood loss following tonsillectomy in children. A blind comparison of diclofenac and papaveretum.

    abstract::One hundred and ninety-eight children, aged 3 to 12 years, who were scheduled for tonsillectomy were randomly allocated to receive either diclofenac 1.0 mg.kg-1 or papaveretum 0.2 mg.kg-1 by intramuscular injection after induction of anaesthesia. There were no significant differences between the treatment groups in op...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Thiagarajan J,Bates S,Hitchcock M,Morgan-Hughes J

    更新日期:1993-02-01 00:00:00

  • Misplacement of multihole epidural catheters--a report of two cases.

    abstract::The misplacement of a multihole (three lateral holes) epidural catheter such that it lies partly in the subdural space is demonstrated in two patients by means of epidurographic studies. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07753.x

    authors: Sala-Blanch X,Martinez-Palli G,Agusti-Lasus M,Nalda-Felipe MA

    更新日期:1996-04-01 00:00:00

  • Evaluation of a novel Surgicric® cricothyroidotomy device for emergency tracheal access in a porcine model.

    abstract::A can't intubate, can't ventilate scenario can result in morbidity and death. Although a rare occurrence (1:50 000 general anaesthetics), it is crucial that anaesthetists maintain the skills necessary to perform cricothyroidotomy, and are well-equipped with appropriate tools. We undertook a bench study comparing a new...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13275

    authors: King W,Teare J,Vandrevala T,Cartwright S,Mohammed KB,Patel B

    更新日期:2016-02-01 00:00:00

  • Phenylbutazone self-poisoning treated by charcoal haemoperfusion.

    abstract::A case is presented of a patient who ingested a potentially fatal dose of phenylbutazone. Her clinical condition deteriorated despite adequate supportive therapy and the use of charcoal haemoperfusion proved life-saving. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1979.tb06256.x

    authors: Strong JE,Wilson J,Douglas JF,Coppel DL

    更新日期:1979-11-01 00:00:00

  • Varying anatomical injection points within the thoracic paravertebral space: effect on spread of solution and nerve blockade.

    abstract::The factors responsible for the spreading pattern of a single paravertebral injection are still uncertain. In this study, 28 patients were randomly assigned to receive a paravertebral injection of radio-opaque dye (10 ml, with or without co-administration of 20 ml of local anaesthetics) either dorsal or ventral to the...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2004.03705.x

    authors: Naja MZ,Ziade MF,El Rajab M,El Tayara K,Lönnqvist PA

    更新日期:2004-05-01 00:00:00

  • Ethamsylate and blood loss in total hip replacement.

    abstract::Nineteen consecutive patients undergoing total hip replacement under epidural anaesthesia were randomly divided into two groups. The treatment group received 1000 mg of ethamsylate intravenously before induction of anaesthesia. Blood lost during surgery was measured by a colorimetric technique. Closed suction drains w...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1979.tb06368.x

    authors: Keith I

    更新日期:1979-07-01 00:00:00